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HomeMy WebLinkAboutBuilding Permit #287-13 - 13 WALKER ROAD 10/11/2013 TOWN OF NORTH ANDOVER ,r APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received Date Issued: /�- IMPORTANT:Applicant must complete all items on this page LA®cA�,ION! y 4-.1 3 Pnnt? PROP'ERTiY,�01NNE.R�_M�°'�°� y Vie Co�Jow-Wh.uw- ASsoG�o� �oy\ Pnntt 100Wear OldfStructu.re yes, no., AP�NO:°. PARG6ZAA EL ZONING'DISTRICT: Historic Distract yes no Machine;Shop,Village yes, no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential El New Building ❑ One family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial [Repair, replacement ❑Assessory Bldg ❑ Others: Wbemolition ❑ Other Septic; +Vlfelli ❑'Floodplain) ❑Wetlands: El 1N4tershedlDistrid �Water/Sewer, DESCRIPTION OF WORK TO BE PERFORMED: 4-. 3�;1 �, d. 3 a� j2 �c�► I a V ��r- e hq t✓�e Qc- Speck-(-•cq +Lon Gr Identification Please Type or Print Clearly) DWNER: Name: Miea&OLU Phone: 900--?0'3:- (((J30 Nddress: k;.ONTRAG ,OR' Name Paws u4 y`' 4 e w-h'Pl one: -- OZ- YO-f O d_dress: G MesP�v-.�cK S-1 _ Na�es� � ("1�. 0L3Q3 ,. 916483 )_upervisor s}.Construction License:_ -.-_ - .Exp'l, Date. Z/b 3 iomeslmprovem_entyLicense:, i _ �. _ -- _ _- , Exp: D"ate:: kRCHITECT/ENGINEER �'�� �fc-�*l ec�S Phone: 979 —0a,0 kddress: /o �er�� �Qltar2 C� 30 Reg. No. i FEE SCHEDULE.BULDING PERMIT.•$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. 'otal Project Cost: $ t{a ©00. 0 0 FEE: $ ��/�0. pe i :heck No.: Receipt No.: TOTE: Persons con'tractipg with unregistered contractors do not have acces o the guaranty ;ignature of AgentiNvn ign4ure ofcontracto 'lans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plan